| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A7030 |
Full face mask used with positive airway pressure device, each |
1,363 |
1,058 |
$87K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
1,091 |
828 |
$56K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,269 |
1,825 |
$54K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,069 |
1,650 |
$45K |
| K0001 |
Standard wheelchair |
1,333 |
1,064 |
$24K |
| A7031 |
Face mask interface, replacement for full face mask, each |
725 |
557 |
$21K |
| A7035 |
Headgear used with positive airway pressure device |
1,174 |
938 |
$17K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
489 |
356 |
$13K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
321 |
249 |
$13K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,749 |
1,343 |
$12K |
| E0570 |
Nebulizer, with compressor |
1,079 |
725 |
$11K |
| E0470 |
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
213 |
185 |
$10K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,977 |
1,577 |
$9K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
821 |
604 |
$7K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
637 |
500 |
$4K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
1,117 |
865 |
$4K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
172 |
137 |
$1K |
| A7015 |
Aerosol mask, used with dme nebulizer |
17 |
12 |
$18.00 |